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Analysis of Pediatric Surgical Disease Spectrum in a Tertiary Hospital
Insights
This study analyzed pediatric surgical hospitalizations, finding digestive diseases, tumors, and congenital malformations were most common. Results highlight significant differences in disease patterns by age and sex, informing pediatric care strategies.
Area of Science:
- Pediatric Surgery
- Clinical Epidemiology
- Hospital Management
Background:
- Pediatric surgical admissions present diverse disease profiles.
- Understanding disease composition is crucial for effective hospital management and prevention strategies.
- Previous studies have not comprehensively analyzed the correlation between pediatric surgical disease types and gender.
Purpose of the Study:
- To analyze the primary disease composition of children hospitalized in pediatric surgery.
- To explore correlations between disease types and gender in pediatric surgical patients.
- To provide data-driven insights for hospital management and pediatric disease prevention.
Main Methods:
- Retrospective analysis of 2,464 pediatric surgical inpatients from January 1, 2015, to December 31, 2015.
- Utilized International Classification of Diseases, 10th Revision (ICD-10) codes for disease classification.
- Employed chi-square tests to analyze differences in disease composition by sex and age using SPSS version 18.0.
Main Results:
- Digestive system diseases, tumors, congenital malformations, and genitourinary diseases constituted 83.5% of cases.
- Infants aged 0 years (22.3%) and the 0-5 years age group (73.1%) were predominantly affected.
- Statistically significant differences (P = .001) were observed in disease system composition across sex and age groups, as well as in length of stay and hospitalization costs by age.
Conclusions:
- Pediatric surgical disease spectrum is diverse, with digestive, tumor, and congenital conditions being most prevalent.
- Significant variations in disease patterns exist between sexes and age groups, necessitating tailored management approaches.
- Strengthening key departments and optimizing consultation processes are recommended to enhance pediatric surgical care.
Objective:
To analyze the main disease composition of children hospitalized in pediatric surgery, explore the correlation between disease types and gender, and provide a reference for hospital management and pediatric disease prevention.
Methods:
Using ICD-10 codes as the classification standard for disease diagnosis, a statistical analysis was conducted on the disease composition of children hospitalized in the Pediatric Surgery Department of the Second Affiliated Hospital of Xi'an Jiaotong University from January 1, 2015, to December 31, 2015, followed by the establishment of a clinical database. A total of 1647 male patients and 817 female patients were enrolled in the study, resulting in a male-to-female ratio of 2:1. The age range of the patients spanned from 0 to 18 years, with a marked imbalance in patient distribution among the various age groups. Statistical analysis was conducted using SPSS version 18.0 software. A chi-square test was performed to analyze the differences in the composition of disease systems and the composition of major diseases in terms of sex and age.
Results:
Pediatric patients were admitted with complex and diverse diseases in 2015, involving 15 systems of the human body and 400 diseases. Digestive system diseases, tumors, congenital malformations, and genitourinary system diseases were the top four diseases accounting for 83.5% of all pediatric cases. 561 patients were aged 0 years, accounting for 22.3% of all cases, while 1,801 patients fell within the 0-5 years age group, constituting 73.1% of the total. The differences in disease system composition among different sex and age groups of pediatric surgical inpatients were statistically significant (P = .001). There are statistically significant differences in the length of hospital stay and hospitalization costs among pediatric surgical inpatients in different age groups (P = .001).
Conclusion:
To strengthen the diagnosis and treatment of pediatric surgical diseases, we should strengthen the construction of key departments, optimize the consultation process according to the characteristics of children's disease spectrum, and improve the level of diagnosis and treatment of pediatric surgical diseases.
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